Synovial cysts of the cervicothoracic junction causing myelopathy: report of 3 cases and review of the literature

Synovial cysts are uncommon pathological entities in patients with cervical degenerative spinal disease, and there are only a few reports in the literature. Treatment typically involves decompression; however, biomechanical data indicate that laminectomies in the cervical spine also result in cervical instability, specifically within the cervicothoracic junction, supporting the use of fusion as well. The authors describe the use of fusion with decompression in the treatment of 3 patients with cervicothoracic synovial cysts that presented in an acute fashion with associated myelopathy and neurological decline, and they review the diagnostic elements, histopathology, and treatment of these cysts. All 3 of the patients did well with decompression via a posterior approach with a single-level instrumented fusion from C-7 to T-1. Each patient regained complete neurological function and had no residual neurological deficits. These results are promising, although the sample size of 3 cases is too small to make any conclusive evaluations. Future studies incorporating Class I and Class II data are imperative to make firm conclusions regarding general management of this rare entity.

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Subaxial cervical synovial cyst presenting with myelopathy

Journal of Neurosurgery Spine ◽

10.3171/spi.1999.90.1.0141 ◽

1999 ◽

Vol 90 (1) ◽

pp. 141-144 ◽

Cited By ~ 4

Author(s):

Simon Cudlip ◽

Francis Johnston ◽

Henry Marsh

Keyword(s):

Spinal Cord ◽

Synovial Cyst ◽

Cord Compression ◽

Facet Joints ◽

Spinal Disease ◽

Good Clinical Outcome ◽

Content Type ◽

Degenerative Spinal Disease ◽

Synovial Cysts ◽

Fine Print

✓ Synovial cysts occur infrequently in the spinal canal and are most often associated with degenerative facet joints. Despite the prevalence of degenerative spinal disease, symptomatic synovial cysts are extremely uncommon. There have been only two previously reported cases of subaxial degenerative synovial cysts of the cervical spine in patients who presented with a clinical picture of spinal cord compression. The authors report three additional patients treated for degenerative cervical synovial cysts who presented with myelopathy. In all three patients the cyst was successfully excised and a good clinical outcome achieved.

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Leiomyoadenomatoid tumour of the uterus report of a rare entity and review of the literature

10.26226/morressier.578f37fad462b8028d88fa27 ◽

2016 ◽

Author(s):

Saadia Makni

Keyword(s):

Rare Entity ◽

Review Of The Literature

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Estimation of the Inhaled Dose of Pollutants in Different Micro-Environments: A Systematic Review of the Literature

Toxics ◽

10.3390/toxics9060140 ◽

2021 ◽

Vol 9 (6) ◽

pp. 140

Author(s):

Francesca Borghi ◽

Andrea Spinazzè ◽

Simone Mandaglio ◽

Giacomo Fanti ◽

Davide Campagnolo ◽

...

Keyword(s):

Systematic Review ◽

Residence Time ◽

Low Cost ◽

Pulmonary Ventilation ◽

Personal Exposure ◽

Ventilation Rate ◽

Atmospheric Pollutants ◽

Active Commuting ◽

Review Of The Literature ◽

Future Studies

Recently, the need to assess personal exposure in different micro-environments has been highlighted. Further, estimating the inhaled dose of pollutants is considerably one of the most interesting parameters to be explored to complete the fundamental information obtained through exposure assessment, especially if associated with a dose-response approach. To analyze the main results obtained from the studies related to the estimation of the inhaled dose of pollutants in different micro-environments (environments in which an individual spends a part of his day), and to identify the influence of different parameters on it, a systematic review of the literature was performed. The principal outcomes from the considered studies outlined that (i) exposure concentration and residence time are among the most important parameters to be evaluated in the estimation of the inhaled dose, especially in transport environments. Further, (ii) the pulmonary ventilation rate can be of particular interest during active commuting because of its increase, which increases the inhalation of pollutants. From a methodological point of view, the advent of increasingly miniaturized, portable and low-cost technologies could favor these kinds of studies, both for the measurement of atmospheric pollutants and the real-time evaluation of physiological parameters used for estimation of the inhaled dose. The main results of this review also show some knowledge gaps. In particular, numerous studies have been conducted for the evaluation (in terms of personal exposure and estimation of the inhaled dose) of different PM fractions: other airborne pollutants, although harmful to human health, are less represented in studies of this type: for this reason, future studies should be conducted, also considering other air pollutants, not neglecting the assessment of exposure to PM. Moreover, many studies have been conducted indoors, where the population spends most of their daily time. However, it has been highlighted how particular environments, even if characterized by a shorter residence time, can contribute significantly to the dose of inhaled pollutants. These environments are, therefore, of particular importance and should be better evaluated in future studies, as well as occupational environments, where the work results in a high pulmonary ventilation rate. The attention of future studies should also be focused on these categories of subjects and occupational studies.

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Acute bilateral foot drop with or without cauda equina syndrome—a case series

Acta Neurochirurgica ◽

10.1007/s00701-021-04735-0 ◽

2021 ◽

Vol 163 (4) ◽

pp. 1191-1198

Author(s):

Andreas K. Demetriades ◽

Marco Mancuso-Marcello ◽

Asfand Baig Mirza ◽

Joseph Frantzias ◽

David A. Bell ◽

...

Keyword(s):

Cauda Equina Syndrome ◽

Cauda Equina ◽

Case Series ◽

Foot Drop ◽

Spinal Disease ◽

Full Resolution ◽

Degenerative Spinal Disease ◽

The Mean ◽

The One

Abstract Introduction Isolated acute bilateral foot drop due to degenerative spine disease is an extremely rare neurosurgical presentation, whilst the literature is rich with accounts of chronic bilateral foot drop occurring as a sequela of systemic illnesses. We present, to our knowledge, the largest case series of acute bilateral foot drop, with trauma and relevant systemic illness excluded. Methods Data from three different centres had been collected at the time of historic treatment, and records were subsequently reviewed retrospectively, documenting the clinical presentation, radiological level of compression, timing of surgery, and degree of neurological recovery. Results Seven patients are presented. The mean age at presentation was 52.1 years (range 41–66). All patients but one were male. All had a painful radiculopathic presentation. Relevant discopathy was observed from L2/3 to L5/S1, the commonest level being L3/4. Five were treated within 24 h of presentation, and two within 48 h. Three had concomitant cauda equina syndrome; of these, the first two made a full motor recovery, one by 6 weeks follow-up and the second on the same-day post-op evaluation. Overall, five out of seven cases had full resolution of their ankle dorsiflexion pareses. One patient with 1/5 power has not improved. Another with 1/5 weakness improved to normal on the one side and to 3/5 on the other. Conclusion When bilateral foot drop occurs acutely, we encourage the consideration of degenerative spinal disease. Relevant discopathy was observed from L2/3 to L5/S1; aberrant innervation may be at play. Cauda equina syndrome is not necessarily associated with acute bilateral foot drop. The prognosis seems to be pretty good with respect to recovery of the foot drop, especially if partial at presentation and if treated within 48 h.

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Preoperative Cognitive Impairment as a Predictor of Postoperative Outcomes in Elderly Patients Undergoing Spinal Surgery for Degenerative Spinal Disease

Journal of Clinical Medicine ◽

10.3390/jcm10071385 ◽

2021 ◽

Vol 10 (7) ◽

pp. 1385

Author(s):

Hyung Cheol Kim ◽

Seong Bae An ◽

Hyeongseok Jeon ◽

Tae Woo Kim ◽

Jae Keun Oh ◽

...

Keyword(s):

Cognitive Impairment ◽

Elderly Patients ◽

Mental State ◽

Mini Mental State Examination ◽

Operation Time ◽

Cognitive Status ◽

Blood Analysis ◽

Spinal Disease ◽

Degenerative Spinal Disease ◽

State Examination

Cognitive status has been reported to affect the peri-operative and post-operative outcomes of certain surgical procedures. This prospective study investigated the effect of preoperative cognitive impairment on the postoperative course of elderly patients (n = 122, >65 years), following spine surgery for degenerative spinal disease. Data on demographic characteristics, medical history, and blood analysis results were collected. Preoperative cognition was assessed using the mini-mental state examination, and patients were divided into three groups: normal cognition, mild cognitive impairment, and moderate-to-severe cognitive impairment. Discharge destinations (p = 0.014) and postoperative cardiopulmonary complications (p = 0.037) significantly differed based on the cognitive status. Operation time (p = 0.049), white blood cell count (p = 0.022), platelet count (p = 0.013), the mini-mental state examination score (p = 0.033), and the Beck Depression Inventory score (p = 0.041) were significantly associated with the length of hospital stay. Our investigation demonstrated that improved understanding of preoperative cognitive status may be helpful in surgical decision-making and postoperative care of elderly patients with degenerative spinal disease.

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Squamous Cell Carcinoma of Kidney and Its Prognosis: A Case Report and Review of the Literature

Case Reports in Urology ◽

10.1155/2015/469327 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Tapan Kumar Sahoo ◽

Saroj Kumar Das ◽

Chandraprava Mishra ◽

Ipsita Dhal ◽

Rohani Nayak ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Radical Nephrectomy ◽

Advanced Stage ◽

Rare Entity ◽

Primary Squamous Cell Carcinoma ◽

Review Of The Literature ◽

Radiological Features ◽

The Right

Primary squamous cell carcinoma of the renal parenchyma is an extremely rare entity. The diagnosis of squamous cell carcinoma of the renal pelvis is usually unsuspected due to the rarity and inconclusive clinical and radiological features. Most of the patients are diagnosed at an advanced stage and are with poor outcome. Radical nephrectomy is the mainstay of the treatment. We reported a case of squamous cell carcinoma of the kidney in a 50-year-old female who presented with the right sided abdomen pain. The patient was treated with radical nephrectomy.

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BOWENOID BASAL CELL CARCINOMA OF THE THUMB: A CASE REPORT AND REVIEW OF THE LITERATURE

Hand Surgery ◽

10.1142/s0218810402001060 ◽

2002 ◽

Vol 07 (02) ◽

pp. 295-298 ◽

Cited By ~ 3

Author(s):

M. Galeano ◽

M. Colonna ◽

M. Lentini ◽

F. Stagno D'Alcontres

Keyword(s):

Case Report ◽

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Basal Cell ◽

Basal Layer ◽

Rare Entity ◽

Review Of The Literature ◽

Skin Malignancy ◽

Root Sheath ◽

Common Skin

Basal cell carcinoma (BCC) is the most common skin malignancy arising from cells of the basal layer of the epithelium or from the external root sheath of the hair follicle. BCC of the digit is a rare entity. The article presents one such case of bowenoid BCC of the thumb which required amputation at the MP joint.

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Progressive neurological deficits with benign intracerebral cysts

Journal of Neurosurgery ◽

10.3171/jns.1986.65.5.0706 ◽

1986 ◽

Vol 65 (5) ◽

pp. 706-709 ◽

Cited By ~ 24

Author(s):

Yoko Nakasu ◽

Jyoji Handa ◽

Kazuyoshi Watanabe

Keyword(s):

Histological Examination ◽

Computerized Tomography ◽

Cyst Wall ◽

Benign Lesion ◽

Ct Scanning ◽

Neurological Deficits ◽

Review Of The Literature ◽

Content Type ◽

Ct Findings ◽

Fine Print

✓ Two patients with benign intracerebral cysts are reported and a brief review of the literature is given. Although computerized tomography (CT) scanning is useful in detecting a variety of intracerebral cysts, the CT findings are not specific for any lesion. An exploratory operation with establishment of an adequate route of drainage and a histological examination of the cyst wall are mandatory in the management of patients with a progressive but benign lesion.

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Dysgenetic Polycystic Disease of Minor Salivary Gland: A Rare Case Report and Review of the Literature

Case Reports in Pathology ◽

10.1155/2017/5279025 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5

Author(s):

N. Srikant ◽

Shweta Yellapurkar ◽

Karen Boaz ◽

Mohan Baliga ◽

Nidhi Manaktala ◽

...

Keyword(s):

Differential Diagnosis ◽

Salivary Gland ◽

Case Report ◽

Rare Case ◽

Minor Salivary Gland ◽

Rare Entity ◽

Review Of The Literature ◽

Lower Lip ◽

Polycystic Disease ◽

Rare Case Report

Polycystic (dysgenetic) disease of the salivary glands is a rare entity that has only recently been described in the literature. The disease is more commonly seen in females and majority of the cases have presented as bilateral parotid gland swellings. This case presenting in a 21-year-old male is the first of this unusual entity involving solely the minor salivary gland on the lower lip. This case report highlights the importance for the clinician to be aware of this differential diagnosis, when treating an innocuous lesion like a mucocele.

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